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Updated: Mar 21, 2026

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

The Use of Mixed Reality in Custom-Made Revision Hip Arthroplasty: A First Case Report

Published on: August 4, 2022

Primary total hip arthroplasty using 3rd generation ceramic-on-ceramic articulation.

Beom H Seo¹, Dong J Ryu¹, Joon S Kang¹

¹Department of Orthopaedic Surgery, College of Medicine, Inha University, Incheon - Korea.

Hip International : the Journal of Clinical and Experimental Research on Hip Pathology and Therapy

|May 21, 2016

Summary

Cementless total hip arthroplasty using 3rd generation ceramic-on-ceramic (CoC) implants showed good clinical outcomes. However, complications like ceramic fracture and dislocation necessitate further research into alternative bearing surfaces.

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Area of Science:

Orthopedic surgery
Biomaterials science
Clinical research

Background:

Ceramic-on-ceramic (CoC) bearings are frequently used in primary total hip arthroplasty (THA) for younger patients.
Advancements in ceramic materials aim to improve longevity and reduce wear in hip implants.

Purpose of the Study:

To evaluate the clinical and radiographic outcomes of cementless THA utilizing third-generation CoC articulation.
To identify and analyze complications associated with this bearing type.

Main Methods:

A cohort of 310 primary THAs in 300 patients using third-generation CoC articulation was followed for a mean of 8.9 years.
Clinical outcomes were assessed using the Harris Hip Score, and radiographic evaluations focused on osteolysis and implant fixation.

Main Results:

Mean Harris Hip Score was 95.4, with no radiographic evidence of osteolysis or implant loosening.
The overall revision rate was 3.9%, with complications including ceramic head fractures, dislocations, deep infections, and periprosthetic fractures.

Conclusions:

Cementless THA with third-generation CoC articulation demonstrates satisfactory clinical results.
Despite material improvements, issues like ceramic fracture and squeaking persist, indicating a need for further investigation into alternative bearing options such as fourth-generation CoC or ceramic-on-polyethylene.